Provider Demographics
NPI:1497958789
Name:EDWARDS, LAMIA LYNN (M ED, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAMIA
Middle Name:LYNN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:MS
Other - First Name:LAMIA
Other - Middle Name:LYNN
Other - Last Name:MINGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAMIA ALLGOOD, SLP
Mailing Address - Street 1:141 PARK RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-0960
Mailing Address - Country:US
Mailing Address - Phone:270-575-3282
Mailing Address - Fax:270-898-2888
Practice Address - Street 1:141 PARK RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-0960
Practice Address - Country:US
Practice Address - Phone:270-575-3282
Practice Address - Fax:270-898-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist